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 **U.S. Railroad Retirement Board**
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 Form G-126, Election To Receive A Residual a Payment Instead Of Future Monthly Insurance Benefits Based On Service Under The Railroad Retirement Act
 Home
          Lump-Sum Death Payment, Residual Lump-Sum, Annuities Unpaid at Death
          Other Forms You May Need
          Form G-126, Election To Receive A Residual a Payment Instead Of Future Monthly Insurance Benefits Based On Service Under The Railroad Retirement Act
 Topics
    

      
              Lump-Sum Death Payment
          Residual Lump-Sum
          Annuities Unpaid At Death
          Railroad Tax Refund
          Furnishing Proof to Support Your Application
          After You Apply For Your Benefits
          Other Forms You May Need
                                Form G-273a, Funeral Director's Statement Of Burial Charges
          Form G-126, Election To Receive A Residual a Payment Instead Of Future Monthly Insurance Benefits Based On Service Under The Railroad Retirement Act
          Form G-131, Authorization of Payment and Release of all Claims to a Death Benefit or Accrued Annuity Payment
          Paperwork Reduction & Privacy Act Notice
          Nondiscrimination On The Basis Of Disability
          Fraud, Waste, and Abuse Hotline Form G-126, Election To Receive A Residual a Payment Instead Of Future Monthly Insurance Benefits Based On Service Under The Railroad Retirement Act
							 
							
							
            RB-21
      
            (12-18)
      
            If you are the employee's widow(er)or parent and you are not currently qualified to receive a monthly survivor annuity but will become qualified in the future and you are applying for the residual lump-sum, you must complete Form G-126 in addition to the Form AA-21. By completing the Form G-126 you are telling the RRB that you will give up all rights to future payment (that is, you will never receive a monthly survivor annuity based on the employee's railroad work) in order to receive the residual lump-sum now.
        ‹ Form G-273a, Funeral Director's Statement Of Burial Charges | 
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                      Form G-131, Authorization of Payment and Release of all Claims to a Death Benefit or Accrued Annuity Payment  ›To view and download PDF documents, you need the free Acrobat Reader. We recommend using the latest version. Viewers with visual disabilities can go to Adobe's Access Website for tools and information that will help make PDF files accessible.Get Adobe Acrobat Reader
To view and download PDF documents, you need the free Acrobat Reader. We recommend using the latest version. Viewers with visual disabilities can go to Adobe's Access Website for tools and information that will help make PDF files accessible.
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U.S. Railroad Retirement BoardWilliam O. Lipinski Federal Building844 North Rush Street
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 Last updated: 12/13/2018